ELLIS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ELLIS HOSPITAL (EIN 14-1338428)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201243189349302429
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T10:06:59-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1515 BROADWAYAddressLine1
CityALBANYCity
StateNYState
ZIP Code122072930ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141338428EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Ellis HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELLINameControl
Phone5186128668Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12308ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel RinaldiName
TitleCFOTitle
Date Signed2012-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeffrey StaggName
Phone5184274766Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames W ConnollyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code123082425ZIPCode
FieldValueIRS element (for citing)
Gross Receipts397587139GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.ellismedicine.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1885YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionThe Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health needs of our community with excellence.Our vision is to be an exceptional healthcare system by providing patient-centered care and collaborating with our physicians.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees3784TotalNbrEmployees
Total Nbr Volunteers298TotalNbrVolunteers
Total Gross UBI5450961TotalGrossUBI
Net Unrelated Business Txbl Income-864837NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2423015ContributionsGrantsPriorYear
Contributions Grants Current Year7814743ContributionsGrantsCurrentYear
Program Service Revenue Prior Year339223921ProgramServiceRevenuePriorYear
Program Service Revenue CY349905580ProgramServiceRevenueCY
Investment Income Prior Year2348370InvestmentIncomePriorYear
Investment Income Current Year3247983InvestmentIncomeCurrentYear
Other Revenue Prior Year3728742OtherRevenuePriorYear
Other Revenue Current Year4084275OtherRevenueCurrentYear
Total Revenue Prior Year347724048TotalRevenuePriorYear
Total Revenue Current Year365052581TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year46340GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41598GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year197881755SalariesEtcPriorYear
Salaries Etc Current Year205281773SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year143261987OtherExpensePriorYear
Other Expenses Current Year147564099OtherExpensesCurrentYear
Total Expenses Prior Year341190082TotalExpensesPriorYear
Total Expenses Current Year352887470TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6533966RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12165111RevenuesLessExpensesCY
Total Assets BOY217214711TotalAssetsBOY
Total Assets EOY224434893TotalAssetsEOY
Total Liabilities BOY120618747TotalLiabilitiesBOY
Total Liabilities EOY130317308TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY96595964NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY94117585NetAssetsOrFundBalancesEOY
Mission DescriptionThe Mission of Ellis Hospital (d/b/a Ellis Medicine) is to meet the health needs of our community with excellence.Our vision is to be an exceptional healthcare system by providing patient-centered care and collaborating with our physicians.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense274792849Expense
Grants41598Grants
Revenue324757378Revenue
DescriptionHealthcare services - Ellis is a community and teaching hospital with 438 certified beds (of which 349 were staffed in 2011) across three hospital campuses, including 52 inpatient mental health beds (see 4B below). The hospital is overseen by a volunteer Board of Trustees from the community. Ellis is the sole provider of acute hospital care in Schenectady County, following a state-mandated restructuring which resulted in consolidation of three hospitals into one in 2007-2008. Ellis balances state-of-the-art technology and advanced medical procedures with a tradition of community-based caring and a firm committment to quality. Ellis has earned numerous recognitions for clinical excellence and community service. Ellis is a "Top 50 Cardiovascular Hospital for 2011" as rated by Thomson Reuters. From 2007 through 2011, Ellis has received recognition from the American Stroke Association (ASA) through the ASA's Gold and Gold Plus Achievement awards. Ellis is recognized for using the ASA's "Get with the Guidelines" program for improving the quality care and patient outcomes. Ellis is also a designated Stroke Center by the New York State Department of Health. The hospital is also a designated "Center of Excellence" by the American Society for Metabolic and Bariatric Surgery. In addition, the Sleep Disorders Center is accredited by the American Academy of Sleep Medicine, the Ellis Belanger School of Nursing is accredited by the National League for Nursing Accrediting Commission, the Family Medicine Residency is accredited by both the Accreditation Council for Graduate Medical Education and the American Osteopathic Association; and the Ellis Medicine Glenville Health, Family Practice Associates and Family Health Center all achieved National Commission on Quality Assurance (NCQA) "Patient-Centered Medical Home" certification. During 2011 and 2010, Ellis received community service awards from: the City Mission of Schenectady ("Partners Award," specifically recognizing the hospital's free community shuttle, health service navigators, and other services for the underserved), the Schenectady ARC ("Employer of the Year," recognizing the hospital for providing employment, with opportunities for growth and meaningful experience, to individuals with developmental disabilities), the Sight Society of Northeastern New York ("Hospital of the Year" for commitment and compassion to grieving families along with outstanding accomplishments and best practices use to facilitate cornea donations), and the Goose Hill Neighborhood Association ("Community Award" for being a good neighbor and proactive communicator).Ellis operates two Emergency Departments which had 85,978 visits in 2011, the Bellevue Woman's Care Center which delivered 2,483 babies in 2011, four primary care practices (in Schenectady (2), Glenville, and Latham), an 82-bed skilled nursing facility and short-stay rehabilitation facility, two off-site blood draw stations, two Bariatric Care locations, a Sleep Disorders Center, a Wound Care Center, a Family Medicine Residency including Osteopathic Residency, a General Dental Residency, and a School of Nursing. Residents enrolled in the Family Medical Residency and the General Dental Residency provide primary and dental care to patients, the majority of whom are uninsured or are patients in government programs such as Medicaid, Family Health Plus, and Child Health Plus through three clinics located at the Ellis Health Center: the Family Health Center, the Pediatric Health Center, and the Dental Health Center. Ellis is also the sole sponsor of the Visiting Nurse Service of Schenectady and Saratoga Counties (VNS), a not-for-profit home health care agency which is the only State-licensed provider of home health care services to the general population in Schenectady County.The Ellis Belanger School of Nursing prepares students for licensure as professional Registered Nurses. Ninety-five percent of the school's graduates passed the New York State nursing licensure examination in 2011. Total enrollment in October 2011 was 120 students. The graduates in the class of 2011 (combined day and evening/weekend programs) were 39, of which 27 joined the nursing staff at Ellis.Ellis serves the community by addressing identified health care priorities, including access to care and prevention and treatment of chronic diseases, through a variety of programs. Identification of needs includes such mechanisms as the State-mandated three-year Community Service Plan (the 2010-2012 plan was filed in September 2009 and updated in September 2011), the Healthy Capital District Initiative (HCDI) (a three-county health data collection and planning entity which brings together county health departments, hospitals, FQHCs, and not-for-profit insurers), and the Schenectady County Strategic Alliance for Health (a federally-designated and funded collaborative focused on preventing chronic disease and promoting community health). Ellis also collaborates with the Schenectady County Public Health Service, such as cooperation in identifying the health care needs of Schenectady's Indo-Guyanese (West Indian) population through a federal REACH grant. Needs are addressed by such programs as: the Medical Home, an innovative community collaboration which centralizes primary care and outpatient health and community services in one location at the Ellis Health Center campus, featuring health services navigators and a community service navigator, a free community shuttle van, and community-focused programs such as a combined kindergarten registration and immunization event; the Wright Heart Center, which offers complete cardiac care and which has partnered with local volunteer ambulance corps to improve response times through installation of advanced EKG equipment on ambulances and location of AEDs at community sites such as recreation fields, and which also participated with IPRO in a three-year project funded by CMS to evaluate the transition of patients for each level of care and make improvements to reduce hospital readmissions; the Stroke Center, which is the region's most comprehensive source for stroke education; and the Ellis Center for Diabetes, which helps children and adults with diabetes improve their quality of life through education and support, including the area's only summer day camp for children with type 1 diabetes which provides full-tuition scholarships for low-income children.As the only provider of maternity care in Schenectady County, Ellis has centralized services at the Bellevue Woman's Care Center. Bellevue has 55 beds (certified and staffed) including a 15-bed neonatal intensive care unit, one of only three ICUs in the area specializing in the care of premature and low birth weight infants. Ellis instituted the area's first Ob/Gyn hospitalist program, aimed at enhancing patient care and safety. Through this program, a hospital-employed board-certified Ob/Gyn physician is on-site at Bellevue 24/7, ready to provide emergency obstetrical care or deliveries in the event a patient's private physician is unavailable. Ellis has also committed to a substantial upgrade of the physical facilities at Bellevue, with a $15 million project started in 2012. Ellis counted 18,591 inpatient discharges and 539,147 outpatient visit during 2011. In pursuing its mission, the hospital provides services to anyone who walks through its' doors, regardless of their ability to pay. The level of charity care, measured on the basis of established costs, was approximately $6,894,365 in 2011. Ellis has granted discounted rates to all uninsured patients, without requiring evidence of ability to pay, since November 2009.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense22159372Expense
Revenue20822070Revenue
DescriptionEllis operates a 52-bed (certified and staffed) inpatient mental health unit and expanded outpatient services. This is the only inpatient mental health facility in Schenectady County, and one of only two inpatient units in a 16-county region providing services to adolescents. Ellis' mental health services include: inpatient care for adults and adolescents; outpatient child, adolescent, and adult mental health services; crisis intervention, including a 24-hour crisis information hotline; a peer advocacy program; and a support and education group for those suffering from schizophrenia and other major disorders and their families. In response to a nationally-studied "Schenectady suicide cluster" of teenage African-American females, Ellis moved the outpatient child and adolescent mental health clinic to substantially expanded facilities at the Ellis Health Center, where it is co-located with an office of the Schenectady City School District and the hospital's Medical Home. As part of a multi-agency adolescent suicide response team, and in order to accommodate increased service needs as identified by the School District, Ellis opened the expanded facility in advance of final State Health Department architectural approval for the physical move from one location to another and, hence, did not qualify to receive Medicaid reimbursement for services rendered during 2010 and 2011 at this location. Medicaid patients, as well as those unable to pay, were treated at no charge. In 2011, the mental health programs had 16,905 inpatient days and 55,016 outpatient visits.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense11892538Expense
Revenue9490460Revenue
DescriptionLong Term Care - 2011 was the first full year that the Ellis Residential and Rehabilitation Center, an 82-bed skilled nursing facility and short-stay rehabilitation facility specializing in medically complex cases, operated from its renovated facility on the Ellis Health Center campus. The new facility provides residents with more private rooms and such amenities as a cyber-center, a larger hair salon, and a roof-top garden. Inpatient days for 2011 were 28,880. The relocation freed up two floors at Ellis Hospital which, while now used for clinical and administrative offices, could be made available for surge capacity in the event of a community disaster or epidemic.Description
FieldValueIRS element (for citing)
Total Program Service Expense308844759TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuertrueOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096375NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3784NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEllis Medicine Finance DeptNamePerson
Telephone Number5186128668TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12308ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Raymond Sweeney
Trustee1.00X000
Anne Phillips
Trustee2.00X000
Quintin Bullock PhD
Trustee1.00X000
George B Boyar MD
Trustee1.00X1875000
Richard Toll MD
Trustee1.00X7540500
Stephen Pagano
Trustee2.00X000
Laura Schweitzer PhD
Trustee/Sec2.00X000
Sarah Schermerhorn
Trustee2.00X000
John A Nolan MD
Trustee3.00X6586100
Robert Murray
Treas/Trustee4.00X000
Deborah Mullaney
Sec/Vice Chair3.00X000
Judith B McIlduff
Trustee1.00X000
Michael Idelchik
Trustee1.00X000
Robert Kennedy MD
Trustee2.00X000
Patrick Kehoe
Trustee2.00X000
Marshall G Jones PhD
Trustee1.00X000
Carolyn Jones
Trustee/Treas2.00X000
D Joseph Gersuk
Trustee2.00X000
Howard Foote
Trustee2.00X000
William B Faubion
Trustee2.00X000
Michael Cocca
Trustee2.00X000
Cristine Cioffi
Chairman9.00X000
Mark Breslin PE
V Chair/Trustee3.00X000
Linda Breault
Trustee1.00X000
Daniel J Rinaldi
CFO50.00290019020050X
Paul A Milton
EVP/COO50.00310135034992X
James W Connolly
President & CEO50.00516520042077X
David Snyder
Vice President Information Services50.00190773020304X
Mary Ellen Crittenden
Vice President Quality50.00156248015958X
Wendy Rosher
Vice President Clinical Services50.00200314028097X
Donald J McLaughlin
Vice President Facility and Support50.00176204028840X
Cecilia A Lynch
Vice President, Nursing/CNO50.00203411025460X
David M Liebers MD
Vice President, Medical Affairs/CMO50.00315354035667X
Patti S Hammond
Vice President, Physician Relations50.00200282025976X
Joseph Giansante
Vice President, Human Resources50.00210584030920X
Terence Clarke MD
MD Surgery50.00869368067858X
Max S Laguerre MD
Rad. Oncologist50.00467234019703X
Robert McKay MD
M.D. Surgery50.00671123068991X
Herbert Reich MD
M.D. Cardiac Surg50.00532520023432X
Paul Spurgas MD
M.D. Neurosurgery50.0087120008717X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6341305TotalReportableCompFromOrg
Total Other Compensation497042TotalOtherCompensation
Number Individuals GT100 K225NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Strategic Solutions MC
400 Clifton Corporate ParkwayClifton ParkNY12065Billing Service964308
Smith & Jones
297 River StreetTroyNY12180Marketing1755230
OB Hospitalist Group
10 Centimeters DriveMauldinSC29662Physician Service1060119
Envision Architects PC
52 James StreetAlbanyNY12207Archetectrual Svc2088287
Bond Schoeneck & King
111 Washington AveAlbanyNY12210Legal Services1314039
FieldValueIRS element (for citing)
Number Of Contractors GT100 K41NumberOfContractorsGT100K
Government Grants4584353GovernmentGrants
All Other Contributions3230390AllOtherContributions
Total Contributions7814743TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Sunnyview Hosp Svcs62199029248412924841
Mental Health Services6219902082207020822070
Long Term Care62300094904609490460
Lab-Physician Referrals62150023047702304770
General Hospital621990313828654313828654

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column534785TotalRevenueColumn
Related Or Exempt Function Income534785RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue349905580TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column1580685TotalRevenueColumn
Related Or Exempt Function Income1580685RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities34178791Securities
Other23065Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities32534558Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1644233Securities
Other23065Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1667298TotalRevenueColumn
Related Or Exempt Function Income1667298RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Rent-Nonresidential Space531120721795$721,795
Purchase Discounts900099669976669976
Food Service Commissions573755$573,755

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2118749TotalRevenueColumn
Related Or Exempt Function Income1246369RelatedOrExemptFunctionIncome
Unrelated Business Revenue221350UnrelatedBusinessRevenue
Exclusion$651,030ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4084275TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column365052581TotalRevenueColumn
Related Or Exempt Function Income349840297RelatedOrExemptFunctionIncome
Unrelated Business Revenue5450961UnrelatedBusinessRevenue
Exclusion$1,946,580ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total41598Total
Program Services41598ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3153590Total
Program Services75405ProgramServices
Management And General3078185ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total170453777Total
Program Services155651813ProgramServices
Management And General14801964ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4933064Total
Program Services4515149ProgramServices
Management And General417915ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14414790Total
Program Services13157884ProgramServices
Management And General1256906ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12326552Total
Program Services11082896ProgramServices
Management And General1243656ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2284684Total
Program Services2284434ProgramServices
Management And General250ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total400074Total
Management And General400074ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total228000Total
Management And General228000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total53445Total
Management And General53445ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total251558Total
Management And General251558ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3208330Total
Program Services3144151ProgramServices
Management And General64179ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1759849Total
Program Services2258ProgramServices
Management And General1757591ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total58143515Total
Program Services57727417ProgramServices
Management And General416098ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4737744Total
Management And General4737744ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11185797Total
Program Services9737362ProgramServices
Management And General1448435ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total867545Total
Program Services608061ProgramServices
Management And General259484ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total54105Total
Program Services54105ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13662844Total
Program Services12057175ProgramServices
Management And General1605669ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3653185Total
Management And General3653185ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Purchased Services15451184123179323133252
Other Fees-Non Medical14801792946201185559
NYS Assessment17682584491101319148
Equip Rental/Maint892023172408471679384
Bad Debt Expense1699018216990182

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2463390Total
Program Services1412360ProgramServices
Management And General1051030ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total352887470Total
Program Services308844759ProgramServices
Management And General44042711ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11165BOY
EOY10970EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4820260BOY
EOY10940255EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY408198BOY
EOY328379EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39949115BOY
EOY36728375EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY44233EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4796799BOY
EOY5142782EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1080238BOY
EOY1197612EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis304519601LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec211145005LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY91153218BOY
EOY93374596EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY57062260BOY
EOY56869401EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17933458BOY
EOY19798290EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY217214711BOY
EOY224434893EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29557479BOY
EOY30418391EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2977724BOY
EOY3467257EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY32960140BOY
EOY29818673EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY119072BOY
EOY118964EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8099280BOY
EOY9730497EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY46905052BOY
EOY56763526EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY120618747BOY
EOY130317308EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY81189149BOY
EOY77487333EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11437216BOY
EOY11421977EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3969599BOY
EOY5208275EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY96595964BOY
EOY94117585EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY217214711BOY
EOY224434893EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12165111ReconcilationRevenueExpenses
Reconcilation Other Changes-14643490ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$53,445OtherActivitiesAmount
Total Lobbying Expenditures IIB53445TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationEllis Hospital pays dues to the Healthcare Association of New York State, Iroquois Healthcare Alliance, and American Hospital Association. The portion of the dues that were attributable to lobbying activities are shown on form 990, Part IX, Line 11 D and above in Schedule C, Part II-B, Line 1i.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3969599BeginningOfYearBalance
Investment Earnings Or Losses1238676InvestmentEarningsOrLosses
End Of Year Balance5208275EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3919510BeginningOfYearBalance
Investment Earnings Or Losses50089InvestmentEarningsOrLosses
End Of Year Balance3969599EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3819437BeginningOfYearBalance
Investment Earnings Or Losses100073InvestmentEarningsOrLosses
End Of Year Balance3919510EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2956826OtherCostOrOtherBasis
Book Value2956826BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis104718694OtherCostOrOtherBasis
Depreciation63880513Depreciation
Book Value40838181BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1177542OtherCostOrOtherBasis
Depreciation1027199Depreciation
Book Value150343BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis184565738OtherCostOrOtherBasis
Depreciation146237293Depreciation
Book Value38328445BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11100801OtherCostOrOtherBasis
Book Value11100801BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings93374596TotalOfBookValueLandBuildings

Other Assets OtherAssets (13 entries)

DescriptionDescriptionBook ValueBookValue
Security Deposits132918
Rent receivable46028
Miscellaneous receivables188476
Meaningful Use Receivable666565
Loan receivable
Interest in Net Assets of Foundation15110592
Grant receivable487116
Due from Insurance group
Due from Foundation754634
DSH for OP Mental Health542375
Deferred financing costs1590904
Accrued rebates and credits245606
Accrued interest receivable33076
FieldValueIRS element (for citing)
Total Book Value Other Assets19798290TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (12 entries)

DescriptionDescriptionAmountAmount
Retainage payable$78,845
Miscellaneous payables$182,310
Estimated self-insurance$13,500,287
Estimated payables to 3rd Party Payers$4,809,269
Employee withholdings$613,992
Claims payable$1,352,897
Asset retirement obligation$1,336,026
Accrued vacation payable$9,096,120
Accrued sick payable$5,729,354
Accrued post retirement benefits$280,148
Accrued pension$19,638,723
Accrued interest payable$145,555
FieldValueIRS element (for citing)
Total Of Amounts56763526TotalOfAmounts
Total Revenue365052581TotalRevenue
Total Expenses352887470TotalExpenses
Excess Or Deficit For Year12165111ExcessOrDeficitForYear
Net Unrealized GL On Investments-2048883NetUnrealizedGLOnInvestments
Other-$12,594,607OtherAmount
Total Adjustments-14643490TotalAdjustments
Excess Or Deficit Per FS-2478379ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt333167351TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2048883NetUnrealizedGainsInvestments
Other Revenues-12594607OtherRevenues
Revenue Not Rptd F990-14643490RevenueNotRptdF990
Revenue Subtotal347810841RevenueSubtotal
Investment Expenses Not Included251558InvestmentExpensesNotIncluded
Other Revenues Not Included16990182OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt17241740RevenueNotRptdOnFinStmt
Total Revenue Per Form990365052581TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt335645730TotExpensesEtcAuditedFinclStmt
Expenses Subtotal335645730ExpensesSubtotal
Investment Expenses Not Included2251558InvestmentExpensesNotIncluded2
Other Expenses Not Included16990182OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt17241740ExpensesNotRptdOnFinStmt
Total Expenses Per Form990352887470TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteThe organization's audited financial statements do not report any liability or have any footnote reporting the organization's liability for uncertain tax positions under FIN48.
Part XIII, Line 4bPart XIII, Line 4b: Other revenue amounts included on 990 but not included in F/SBad Debt Expense $16990182
Part XII, Line 4bPart XII, Line 4b: Other revenue amounts included on 990 but not included in F/SBad Debt Expense $16990182
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesChange in Interest in Foundation $ -580164 Pension & Post Retirement $ -12014443
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Permanently Restricted Net Assets (Endowment Funds) are investments to be held in perpetuity, the income from which is expendable to support health care services (reported as Other Operating Revenue). These Net Assets amounted to $692,674 at 12/31/2011. The remaining amount of $4,515,601 are Net Assets held by the Foundation (including $1,158,853 for beneficial interest in perpetual trusts in 2011). Grand total was $5,208,275.
Part IV, Line 2bPart IV, Line 2b: Explanation of escrow account liabilityThe Ellis Residential and Rehabilitation Center residents spending account is included in line 2 and line 21 on Schedule X. The total is $16,822. These funds belong to the residents and are deposited and disbursed by the Ellis Residential and Rehabilitation Director's designee. The Ellis Hospital Accounting Department is responsible for tracking the funds.Medical/Dental Staff Dues Account is included in line 2 and line 21 on Schedule X. The total is $102,142. This fund contains deposits and disbursements as directed by the Medical/Dental Staff appointed officers. The Ellis Hospital Accounting department is responsible for depositing and disbursing the funds on the Medical/Dental officer's behalf. The accounting department also issues IRS form 1099 based on the disbursements.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense8577120TotalCommunityBenefitExpense
Direct Offsetting Revenue4326545DirectOffsettingRevenue
Net Community Benefit Expense4250575NetCommunityBenefitExpense
Percent Of Total Expense0.01270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense61087354TotalCommunityBenefitExpense
Direct Offsetting Revenue55326716DirectOffsettingRevenue
Net Community Benefit Expense5760638NetCommunityBenefitExpense
Percent Of Total Expense0.01710PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense69664474TotalCommunityBenefitExpense
Direct Offsetting Revenue59653261DirectOffsettingRevenue
Net Community Benefit Expense10011213NetCommunityBenefitExpense
Percent Of Total Expense0.02980PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense577529TotalCommunityBenefitExpense
Direct Offsetting Revenue7556DirectOffsettingRevenue
Net Community Benefit Expense569973NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense9212452TotalCommunityBenefitExpense
Direct Offsetting Revenue3828858DirectOffsettingRevenue
Net Community Benefit Expense5383594NetCommunityBenefitExpense
Percent Of Total Expense0.01600PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3997973TotalCommunityBenefitExpense
Direct Offsetting Revenue25000DirectOffsettingRevenue
Net Community Benefit Expense3972973NetCommunityBenefitExpense
Percent Of Total Expense0.01180PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense2472TotalCommunityBenefitExpense
Net Community Benefit Expense2472NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense189555TotalCommunityBenefitExpense
Net Community Benefit Expense189555NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense13979981TotalCommunityBenefitExpense
Direct Offsetting Revenue3861414DirectOffsettingRevenue
Net Community Benefit Expense10118567NetCommunityBenefitExpense
Percent Of Total Expense0.03010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense83644455TotalCommunityBenefitExpense
Direct Offsetting Revenue63514675DirectOffsettingRevenue
Net Community Benefit Expense20129780NetCommunityBenefitExpense
Percent Of Total Expense0.05990PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense4152TotalCommunityBuildingExpense
Net Community Building Expense4152NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1741TotalCommunityBuildingExpense
Net Community Building Expense1741NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense18460TotalCommunityBuildingExpense
Net Community Building Expense18460NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense1418TotalCommunityBuildingExpense
Net Community Building Expense1418NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense7310TotalCommunityBuildingExpense
Net Community Building Expense7310NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense33081TotalCommunityBuildingExpense
Net Community Building Expense33081NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,679,800BadDebtExpenseAmount
Amount Attributable To236000AmountAttributableTo
Amount Reimbursed By Medicare71815399AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare77338867CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5523468MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Ellis HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11101 Nott StreetAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12308ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
Other82 Bed Skilled Nursing FacilityOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Ellis HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities13NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Ellis Hospital Rehabilitation Services
650 McClellan StreetSchenectadyNY12304Physical Therapy Services
Ellis Hospital Continuing Day Treatment
216 Lafayette StreetSchenectadyNY12308Mental Health Services
Ellis Hospital Blood Draw Station
949 Route 146Clifton ParkNY12065Patient Service Center
Ellis Hospital Collage Social Program
1328 State StreetSchenectadyNY12304Mental Health Services
Ellis Hospital Neurology
1201 Nott StreetSchenectadyNY12308Outpatient Neurology
Ellis Hospital Primary Care
1201 Nott StreetSchenectadyNY12308Primary Care Services
Mobile Mammography Van
2210 Troy RoadNiskayunaNY12309Mammography Services
Pelvic Health Center
930 Albany Shaker RoadLathamNY12110Pelvic Health Services
Ellis Hospital Bariatric Center
1405 Fulton AvenueSchenectadyNY12308Bariatric Care Services
Glenville Healthcare Center
460 Saratoga RoadGlenvilleNY12302Primary Care Services
Ellis Hospital Mental Health Clinic
216 Lafayette StreetSchenectadyNY12308Mental Health Services
Bellevue Womans Center
2210 Troy RdNiskayunaNY12309Maternity and Womens' Hospital
Ellis Health Center
600 McClellan StreetSchenectadyNY12304Medical Home and 24/7 Emergency Department

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Additional InformationPart VI, Line 7-In accordance with NYS regulations, Ellis follows a triennial community service plan, along with annual updates.
Part VI - Affilated Health Care System Roles and PromotionNot Applicable
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeEllis Medicine furthers its exempt purpose by promoting the health of the community through:1. A volunteer Board of Trustees that is comprised of community members, medical staff members and hospital administrators who serve three year terms, up to a three term maximum. Currently, the Ellis Board is comprised of 22 trustees - 17 non-physician citizens of the community, four physicians, and one senior hospital administrator (the hospital's President and CEO). Ellis does not have a parent corporation.2. An open medical staff consisting of approximately 700 affiliated physicians. Medical privileges at Ellis Hospital are available to all qualified physicians in the area. Approximately 150 of these physicians are employed by Ellis, including 30 residents participating in the Family Medicine Residency and three in the General Dental Residency. Ellis' medical staff is led by a Medical-Dental Executive Committee (MDEC). The MDEC plays an integral part in the hospital's corporate structure and daily operations. The MDEC and the department chairs, who oversee specific clinical services, work collaboratively with the hospital's volunteer Board of Trustees, administrators, and staff to ensure the highest quality of care is delivered to patients and that the community's healthcare needs are met with excellence. Physicians also serve as members of the hospital's Board of Trustees, and they are directly involved in the hospital's annual budget process: they rank and prioritize all capital items in the hospital's capital budget and they sign off on volume projections for the hospital's annual operating budget.3. Operation of two, full service, fully staffed emergency rooms on two separate campuses, both of which are open 24 hours-a-day, seven days-a-week, 365 days-a-year. Ellis' emergency rooms care for all those in need of emergency care regardless of their ability to pay. Similarly, Ellis Hospital's admission policy is not restrictive. Ellis does not deny admission to any patient based on his/her ability to pay. 4. The work of The Foundation for Ellis Medicine, a 501 (c) (3) tax-exempt charitable organization whose sole purpose is to encourage philanthropic support for Ellis Hospital. The Ellis Hospital Foundation was established in 1982 and is governed by a separate board of trustees. Funds raised through the Foundation's activities are used to assist the hospital in acquiring state-of-the-art medical equipment and support a wide range of health care programs and services. 5. Reinvesting its surplus funds to expand/replace/modernize its facilities and medical equipment; support programs/activities aimed at improving quality of care and patient safety; train and educate its medical and nursing staffs; and to improve the overall delivery of and accessibility to health care services in the community.Ellis Medicine demonstrates leadership as a charitable institution by organizing and participating in communitywide efforts for the needy; reaching out to the underserved to provide needed primary and preventative healthcare services and health education, especially through its Medical Home; attracting and using funds to serve the needy; participating in Medicaid and other federal, state, and local healthcare reimbursement programs for the needy such as Child Health Plus; and formally planning for and providing charity care and maintaining a policy of administering care to all persons in need.Ellis Medicine provides essential healthcare services by cooperating with other community healthcare providers to maximize the meeting of essential community health needs; rendering healthcare services and educational services that are specifically designed to meet assessed community needs and improving community health status; and operating two 24 hour, 7 day-a-week Emergency Departments that cares for anyone who walks through its doors in need of emergency care, regardless of one's ability to pay.Ellis Medicine is accountable to the community by having a volunteer governing board comprised of members of the Schenectady community; inviting and responding to community input and involvement in planning and review of hospital activities; voluntarily disclosing information to the public on hospital services, financial status, community benefit activities and charity care; and advocating for healthcare cost containment and promoting the efficient use of healthcare resources within the community.
Part VI - Community Building ActivitiesEllis Medicine (the trade name for Ellis Hospital) successfully restructured healthcare services in its community following the New York State-mandated hospital consolidation in 2008, and has since been working to align its innovative approaches to community health with the full array of services provided by other local community-based public and not-for-profit organizations. Ellis is now the sole acute care hospital in Schenectady County, and is one of the largest primary care providers, having assumed responsibility for the services of two former hospitals which closed during this State-driven "rightsizing" process. In this important role, Ellis has worked tirelessly to engage the community and to develop coalitions with community partners in order to ensure access to a full range of healthcare services, with special attention paid to disadvantaged members of our community. Ellis has undertaken and is planning a number of significant capital projects to consolidate care, enhance access to care and improve the overall quality, efficiency and cost-effectiveness of our local healthcare system. One of Ellis Medicine's key community building activities is its innovative Medical Home, which is a central location for primary care and outpatient services on a single campus aimed at improving access to healthcare, especially among the uninsured and underinsured. The Ellis Medical Home offers primary care (adult and pediatric), dental care, outpatient child/adolescent mental health services, diabetes education, and emergency services along with a number of outpatient services such as medical imaging, laboratory, a sleep disorders center, wound care, and day surgery. The Medical Home features specially trained Health Services Navigators, one an Ellis employee and the other contracted from Schenectady County Public Health Services, and a Community Services Navigator, a counselor employed by the local community action agency, who help patients connect to the healthcare and social services programs they need, including Medicaid facilitated enrollment services, and a free Community Shuttle which provides transportation from a number of community sites including homeless shelters and soup kitchens to the healthcare campus. The Medical Home is an effective partnership among Ellis Medicine and numerous community groups, including the Schenectady Community Action Program, the Salvation Army, the City Mission, YWCA, YMCA, Schenectady City School District, and Schenectady County Public Health Services, among other social service and community agencies.The success of the Medical Home in building community coalitions helped lead to a successful application by a community partnership for designation by the New York State Department of Health as one of the first three upstate Medicaid Health Homes. The Health Home program, which was established by the Patient Protection and Affordable Care Act (PPACA) of 2010 and conforming State law, is intended to provide a comprehensive array of healthcare and community support services to Medicaid patients with designated high-cost conditions. New York State has chosen to initially focus on patients with multiple chronic conditions, behavioral health issues, and/or HIV/AIDS. A coalition of 42 healthcare and community agencies led by Ellis, the Visiting Nurse Service of Schenectady and Saratoga Counties, Inc., and Hometown Health (the Schenectady FQHC) will be providing comprehensive care management services to high risk Medicaid patients in Schenectady County.Another example of Ellis' coalition building activities is its participation in the Schenectady County Public Health Services' federally funded Strategic Alliance for Health (SAH), which brings together a host of healthcare and community organizations to address chronic disease and to promote disease prevention and wellness. An Ellis representative participates in regular meetings of the SAH board. During 2011, Ellis worked with the SAH to implement a highly visible "healthy foods" initiative in the Ellis public cafeteria.Ellis also works closely with the Schenectady County Public Health Services and the Healthy Capital District Initiative (HCDI) to assess community needs and to develop the State-required community service plan to identify health priorities. (These activities are described further on Line 2.)Additionally, Ellis partners with a number of community partners, such as the American Cancer Society and the YWCA, to provide health screenings to uninsured and underinsured populations in our service area. Although in 2011 the mobile mammography van was retired due to the high cost of required repairs, Ellis runs special events to host groups from rural and underserved areas for screenings. Ellis provides rent-free space and other in-kind support for the State-sponsored Schenectady County Cancer Services Program. In collaboration with community partners, Ellis offers outpatient smoking cessation courses and sponsors peer-driven mental health and cancer patient support groups. And, acting in collaboration with the Schenectady County Planning Department and the Cooperative Extension, during 2011 Ellis hosted a weekly Farmers' Market in the parking lot of the Ellis Health Center during the summer months.Medical residents from the Ellis Family Medicine Residency donate their time and expertise to staff two free community-based medical clinics. A weekly clinic at the Schenectady City Mission serves uninsured, homeless individuals in the City of Schenectady. And a rural seasonal clinic provides care to uninsured migrant workers in collaboration with the Columbia County Department of Health.Ellis staff members also sit on numerous community boards and healthcare coalitions to target improvements in such areas as diabetes, long term care, cancer, hospital readmission rates, and healthy living.Ellis is an active and results-driven member of H2E: Hospitals for a Healthy Environment, a program to eliminate mercury, reduce waste and pollution and to improve utilization of environmentally friendly products and vendors. Additionally, Ellis staffs a Green Team that works to promote recycling and other eco-friendly practices throughout the organization.
Part VI - Community InformationIn accordance with industry standards, Ellis Hospital's community is defined as the hospital's Primary and Secondary Service Areas, accounting for 80% of the hospital's discharge volume. These include all or portions of Schenectady, Saratoga, Albany, Fulton, and Montgomery counties and are comprised of 22 zip codes. Since the State-mandated consolidation of Schenectady's hospitals, Ellis has become the sole provider of acute hospital care in Schenectady County, and it is the largest hospital within its Service Areas.The Primary Service Area is focused on the City of Schenectady, an older industrial city with a population of about 60,000, a substantial decline from the 1940 high of over 90,000. According to the City of Schenectady's "2010-2014 Consolidated Plan," 67% of households in the city are considered low or moderate income, while the poverty rate in the Hamilton Hill neighborhood, adjacent to Ellis Hospital, is over 28%. Nearly all (95%) of the City's housing stock was built before 1978, and Schenectady neighborhoods have been identified as having among the highest concentration of elevated blood levels for lead in New York State.An impact of the level of poverty in the City of Schenectady has been the extent to which Ellis' patients are either covered by government health programs or are uninsured. During 2011, Medicare patients accounted for 41.7% of inpatient discharges, 28.7% of outpatient visits, and 34.7% of net patient revenues. Medicaid covered 21.9% of inpatient discharges, 26.7% of outpatient visits, and 18.1% of net patient revenues. Uninsured patients accounted for 2.9% of inpatient discharges and 5.8% of outpatient visits. Overall, uninsured or government insured patients made up 66.5% of inpatient discharges and 61.2% of outpatient visits, while generating 54.5% of net patient revenues before bad debts.There is one Medically Underserved Population (MUP) within Ellis' Primary Service Area. The homebound population of Schenectady County is designated MUP 06211. In response, at least three physicians on the staff of the Ellis Family Health Center make house calls, and residents in the hospital's Family Medicine Residency may include house calls in their training. The Secondary Service Area is a much wider geographic area, including rural and farming communities, as well as affluent suburbs. Overall, the combined Service Areas represent a study in contrasts. An equal number of people have incomes below $25,000 as above $100,000 (20%). Health status variations are similarly dramatic. For example, the rates of asthma-related hospital admissions per 10,000 people vary from 423 in the 12307 ZIP code to 54 in the 12309 ZIP code, a distance of about five miles.Overall Census data for the combined Service Areas for 2011 estimate a total population of 351,828. This is projected to increase to 357,855 by 2016. The 2011 average (mean) income was $69,824. The gender distribution is 49% male and 51% female. The area is fairly well educated, with 31% of the population having a bachelors degree or more. There will, however, likely be increased need for healthcare services as the community ages. The greatest change in population from 2011 to 2016 is expected to be in the over 55 age range (3% increase), while decreases are expected in the number of children aged 0-17 (0.8%) and in adults in the 35-54 age range (2.9%).
Part VI - Patient Education of Eligibility for AssistanceEllis Medicine provides financial assistance information about programs available to assist patients in paying for their bills, including discount programs and charity care, on its external website (www.ellismedicine.org), in readily available and publicly distributed brochures, and through flyers and posters visible throughout the organization. Applications for financial assistance are available online at the Ellis website. Additionally, Ellis employs Financial Advocates who assist patients in determining the availability of and their eligibility for free or low-cost care, and then assist them with completing the necessary paperwork. Since 2009, Ellis Medicine has included affirmative financial assistance outreach as part of the innovative Medical Home through which it aims to increase access to care and provide healthcare navigation services to patients (especially the underserved and uninsured/underinsured), including education about and assistance with charity care and financial assistance services.Additionally, Ellis publicizes its Financial Call Center & Information Line (sharing with our 3,300 employees; our local, state and federal lawmakers' offices in case they receive constituent inquiries related to hospital costs and/or financial services at Ellis; and the general public), highlighting a number to call (518-243-1695) through which patients can receive information about how much their care will cost at Ellis Medicine as a way to be transparent and helpful in providing this information, as more and more patients are paying higher deductibles and are concerned about the cost to them out-of-pocket. This is particularly significant in Ellis' Primary Service Area, as the largest local employer has converted to a high-deductible health insurance plan for most of its employees.Ellis has also participated in health fairs and employer information functions to advise small businesses and their employees of Ellis' Financial Call Center & Information Line. Ellis' Call Center has trained specialists who can help enroll qualifying patients in Financial Assistance programs, estimate a patient's out-of-pocket expenses based on their medical plan, provide pricing for procedures and tests at Ellis Medicine and assist patients in completing Medicaid applications when applicable. Ellis' Information Line helps with physician referrals, scheduling outpatient testing and providing general information about programs and services at Ellis Medicine.
Part VI - Needs AssessmentEllis Medicine assesses the healthcare needs of its community through analysis of federal, State and local healthcare data, through collaboration with healthcare and community partners, and through the engagement of the public in meetings and surveys. As with all hospitals in New York State, Ellis files a three-year Community Service Plan with the New York State Department of Health, along with annual Plan Updates. Ellis has begun working with community partners in preparation for Community Health Needs Assessment and Implementation Plan reporting which will be required for the tax year 2013. Ellis participates as a dues-paying member of the Healthy Capital District Initiative (HCDI), a State-recognized regional health planning and research agency. HCDI members include county health departments from New York's Capital Region (Albany, Schenectady and Rensselaer Counties), local hospitals, health insurance companies, and other healthcare and community partners. HCDI coordinates regional needs assessments and collaborative responses to identified service gaps. An Ellis representative attends bi-monthly meetings of the HCDI Board, and Ellis has provided staff expertise for various workgroups.In November 2011, as part of the State's HEAL-9 initiative, HCDI published a report on an intensive study of Emergency Department (ED) utilization in the three-county region. Ellis participated by distributing HCDI's surveys to patients in both Emergency Departments, and by assigning staff to work on several HCDI workgroups. The analysis found that nearly half of ED visits could have been treated in a primary care setting or prevented by appropriate primary care, and also found that an unusually large share of Ellis' ED visits were by uninsured patients as compared with other hospitals in the area. In response, Ellis has increased efforts to make primary care services available in Schenectady, and has met with Schenectady County officials and community organizations to develop ways to encourage uninsured patients to obtain Medicaid coverage. Between 2009 and 2011, patient visits to the Ellis Family Health Center, a primary care clinic which largely serves uninsured and Medicaid patients, increased by 22%.HCDI continued to make available to the public the 2009 Community Health Profile through which multiple data sources were analyzed to identify and rank the top health concerns in Albany, Schenectady and Rensselaer Counties. As part of this process, a public health forum, "How Healthy Is the Capital District?" was held in spring 2009 at a local television station, allowing audience and call-in participation during the hour-long broadcast. Additionally, a public survey of community members was also administered. Of the more than 1,100 community members surveyed, 41.6% of respondents resided in Schenectady County. The main issues covered by the survey included access to care, health insurance coverage, barriers to healthcare, Emergency Department utilization, and chronic disease experiences.In addition to this Capital Region-wide effort, Ellis works with Schenectady County Public Health Services to identify health priorities and strategies to address them. From this process, Ellis produces a Community Service Plan and the County Health Department produces its Community Health Assessment. In accordance with New York State law, Ellis filed a three year (2010-2012) Community Service Plan with the State Department of Health in September 2009, and then filed annual updates to the Plan in September 2010 and September 2011. Following review, the State Department of Health accepted Ellis' 2011 update without requiring any revisions.Finally, Ellis holds regular meetings in the community and has engaged the Siena Research Institute to conduct public surveys regarding local health concerns and priorities. During 2011, Ellis conducted seven community outreach meetings between community groups, such as neighborhood associations and senior citizens organizations, and Ellis executives. In addition, the CEO met with the Mayor and Council of the City of Schenectady. Ellis received the results of a "Siena Survey" conducted in late 2010 to assess community satisfaction with overall healthcare services and with specialty care services. The survey, the fourth since 2008, found that 79% of Schenectady residents are "satisfied" or "very satisfied" with the overall healthcare system in the community. The largest categories of service for which patients travel outside the community are oncology (26%) and general surgery (24%). The results of these surveys and the public input via community meetings provide feedback from the general public about hospital services/health needs/health concerns. Ellis also holds regular meetings with employees and physicians, and administers annual satisfaction surveys to its employees and physicians.
Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceAll uninsured patients are automatically eligible for a reduction of charges to the reimbursement rate from Ellis' highest volume health maintenance organization.Uninsured patients with incomes at or below 200% FPG are eligible to receive charity (free) care.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsEllis Hospital does not use presumptive eligibility for charity care. All patients eligible for charity care must submit an application which is then reviewed by Ellis to verify charity care eligibility. Without a submitted application, charity care is not approved and patients are subject to routine collection efforts as outlined in Ellis' collection policies. However, once approved for charity care, patients balances are eliminated and no collection efforts take place.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe costing methodology used to determine Medicare allowable cost reported on Part III, Line 6 is the ratio of costs to charges. Consistent with the charitable healthcare mission of Ellis Hospital, Ellis provides care for all patients covered by Medicare who seek medical care. Such care is provided regardless of whether the reimbursement provided for such services meets or exceeds the costs incurred by Ellis to privide such services. As a rsult, Ellis views any shortfall reported in Line 7 as an additional item of community benefit provided by the organization.
Part III, Line 4 - Bad Debt ExpenseThe costing methodology used in determining the amounts reported on Part III, Section A, lines 2 and 3, is Ellis' cost to charge ratio.The following footnote relating to bad debt expense is included in the audited financial statements:Ellis Hospital grants credit without collateral to patients, most of which are local residents and are insured under third-party payor agreements. Additions to the allowance for doubtful accounts are made by means of the provision for bad debts. Accounts written off as uncollectable are deducted from the allowance. The amount of the provision for bad debts is based upon management's assessment of historical expected net collections, business and economic conditions, trends in Federal and State government health care coverage, and other collection indicators. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for doubtful accounts. The Bad Debt Expense included on form 990, Part IX, line 25, column (A) but removed from the percent of expense on Schedule H, line 7 a through k, column (f) was $16,990,182.
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)All uninsured patients are automatically eligible for a reduction of charges to the reimbursement rate from Ellis' highest volume health maintenance organization. Uninsured patients with incomes at or below 200% FPG are eligible to receive charity (free) care.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSchool of Nursing ScholarshipTypeOfGrant
Number Of Recipients102NumberOfRecipients
Amount Of Cash Grant7050AmountOfCashGrant
Amount Of Non Cash Assistance34548AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash AssistanceTuition ReductionDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationThe School of Nursing (SON) works with the office of the Vice President for Nursing and the Ellis Hospital Foundation to track awards and to assure that the grants and monies are used for the intended purpose. It is the responsibility of the Ellis Finance Department to release the funds and account for the remaining balance. In the case of the Auer Scholarship, the faculty interviews the potential recipients and makes a recommendation (in rank order) of who should receive the scholarship. The Director of the SON meets with the VP for Nursing and they make a decision on how many scholarships to award to the top candidates. The Finance Department then credits the student tuition receivable account and draws the money from the Scholarship fund. There are scholarship monies that community organizations give. The organizations either send a check or hand it to the student at commencement.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Wendy Rosher
173129267564291005518042228411
Terence Clarke MD
569788299376204599037955937226292876
Robert McKay MD
3058783483161692968337654740114
Paul Spurgas MD
714527139000176738717879917
Paul A Milton
25352439682169291015824834345127
Patti S Hammond
17993019923429825717719226258
Max S Laguerre MD
44071526519100849619486937
Mary Ellen Crittenden
13709718722429515110807172206
Joseph Giansante
1652352634619003860622314241504
James W Connolly
40022778868374251039731680558597
Herbert Reich MD
454529612001679198001363255595261200
Donald J McLaughlin
1429492014713108699021850205044
David Snyder
1656502469442920304211077
David M Liebers MD
284602299777751135024317351021
Daniel J Rinaldi
2501643868211731002110029310069
Cecilia A Lynch
17747325647291776317697228871

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationDr. Terence Clarke is a Surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $292,876 represents the incentive compensation he earned in 2010. This amount was included in his 2011 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2010 990 Schedule J Part II in Column C.Dr. Herbert Reich is a Surgeon employed by Ellis Hospital. In addition to his base salary, he participates in an incentive compensation plan. In Schedule J Column F, the $61,200 represents the incentive compensation he earned in 2010. This amount was included in his 2011 W-2 and is included in column B (ii). This amount was reported as Deferred Compensation in the 2010 990 Schedule J Part II in Column C.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.Ellis Hospital has a corporate membership at the Mohawk Golf Club that is in the CEO's name, however, the club is used for business purposes and functions only.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Dorm Auth of NYSBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN146000293IssuerEIN
CUSIP Number64983TQ97CUSIPNumber
Date Issued2004-11-23DateIssued
Issue Price16834363IssuePrice
Description Of PurposeConstruction of new ICUDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuertrueOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1415000AmountRetired
Total Proceeds16834363TotalProceeds
Amount In Reserve Fund1224505AmountInReserveFund
Capitalized Interest861840CapitalizedInterest
Issuance Costs From Proceeds57858IssuanceCostsFromProceeds
Capital Expenditures14407431CapitalExpenditures
Other Spent Proceeds282729OtherSpentProceeds
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedtrueGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Mark Breslin
Trustee165550Construction Managementfalse
John A Nolan MD
Trustee275961Medical Servicesfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationDr. Nolan is a founding member and President of Cardiology Associates of Schenectady (CAS). CAS is a prominent group of 22 cardiologists, with six offices, that provides comprehensive cardiac care to patients in Schenectady, Montgomery, Fulton and Saratoga counties. CAS received payment for the direction of the cardiology program at Ellis Hospital. Ellis Hospital also leased Physicians' Assistants from CAS during 2011.Mr. Breslin serves as Vice President and General Manager for the New York North Business Unit of Turner Construction Company. After going through a selection process, Turner Construction Company was awarded the construction management contract for the new Emergency Renovation Project. In 2011 Turner was paid $165,550 for preconstruction services.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part IV Line 20 bAudited Financial Statements included
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCorporate Compliance Policies (including Conflicts of Interest Policy) and audited Financial Statements are available to the general public via posting on the Ellis Hospital website: www.ellismedicine.org. In addition, these documents and governing documents are available to the public upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEllis Hospital's Conflict of Interest Policy applies to all Hospital Trustees, Officers, employees, Medical/Dental staff members, Directors, Managers, appointees with administrative and/or decision-making responsibilities, Volunteers or any of these parties' immediate families (collectively called Hospital Agents). The Ellis Hospital Corporate Bylaws require Hospital Agents and other selected individuals as identified by the Vice President, Human Resources and the Corporate Compliance Officer/Director of Internal Audit (CCO), to file a conflict of interest disclosure statement with the Hospital on a annual basis. When the statements are completed they are returned to the CCO. Upon receipt, the CCO will review the disclosure and, if a potential conflict is disclosed, will meet with the Hospital Agent and/or his/her appropriate supervisor to discuss the disclosure and need for action if any. All statements for Trustees are also reviewed by the CCO, and if a potential conflict has been disclosed, he/she will meet with the Board Chairperson to discuss the disclosure and need for action, if any. All potential conflicts involving the Board of Trustees will be summarized by the CCO and reported to the Audit Committee of the Board. This Committee will then share this information with the Board Chairperson. When a potential or actual conflict exists, An interested person may make a presentation to the Board or at a Committee meeting, but after such presentation, he/she shall leave the meeting during the discussion of, and the vote upon, the transaction or arrangement that could constitute the conflict of interest. The Board or Committee members shall determine by a majority vote whether the transaction or arrangement is in the Hospital's best interest.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessA copy of the Ellis Hospital's 990 was prepared and submitted for review to the Senior Management team comprised of the Chief Executive Officer, the Chief Operating Officer, Chief Financial Officer, and Vice Presidents. After their review was completed, the Form 990 was sent to each member of the Audit Committee for review. After review by the Audit committee, a copy of the Form 990, including all required schedules, as ultimately filed with the IRS, was given to each voting member of Ellis' Board of Trustees, prior to its filing with the IRS. After review by the Board of Trustees, and upon the recommendation of the Audit Committee, approval is given for filing the return with the IRS.Form 990, Part VI, Line 11

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